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This Article Full Text (PDF) All Versions of this Article: ajpgi.00237.2009v2    most recent ajpgi.00237.2009v1 Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Balesaria, S. Articles by Walters, J. R. PubMed PubMed Citation Articles by Balesaria, S. Articles by Walters, J. R.

Research Article

Human duodenum responses to vitamin D metabolites of TRPV6 and other genes involved in calcium absorption.

¹Imperial College London

Submitted 19 June 2009 ; revision received 25 August 2009 ; accepted in final form 17 September 2009

ABSTRACT

Calcium absorption by the intestine is necessary for bone mineralization. Much has been learnt about this process and the role of vitamin D metabolites in gene transcription from animal studies, but the molecular mechanisms in humans are less well understood. We have used samples of normal human duodenal mucosa, obtained at endoscopy, to investigate the effects of the vitamin D metabolites, 1-dihydroxycholecalciferol, (1,25(OH)₂D₃) and 25-hydroxycholecalciferol (25OHD) on transcripts on genes involved in calcium absorption and vitamin D metabolism. TRPV6 transcripts were significantly higher after incubation for 6h with 1,25(OH)₂D₃ (10^–9mol/l) than after control incubations (median difference 3.1-fold, p <0.001). Unexpectedly, TRPV6 expression was also higher (2.4-fold, p <0.02) after incubation with 25OHD (10^–7mol/l). Transcripts for the calcium-ATPase, PMCA1, were significantly higher with 1,25(OH)₂D₃; CYP24 were reliably detected after incubation with either metabolite, but calbindin-D9k transcripts were unaffected. The response of TRPV6 to 25OHD and the expression of transcripts for CYP27B1, the 25OHD-1-hydroxylase, were significantly correlated (r = 0.82, p < 0.02). Basal duodenal expression of TRPV6 and CYP27B1 were significantly associated (r = 0.72, p <0.001) in a separate previously reported series of subjects. Multiple regression analysis of the associations with basal duodenal TRPV6 expression identified CYP27B1 expression and serum 1,25(OH)₂D as major factors. Expression of the CYP27B1 protein was demonstrated immunohistochemically in duodenal mucosa. This study has shown that human duodenal TRPV6, PMCA1 and CYP24 transcripts respond rapidly to 1,25(OH)₂D₃ and provides evidence suggesting that local duodenal production of 1,25(OH)₂D₃ by 25OHD-1-hydroxylase may have a role in human calcium absorption.

Cholecalciferol;; calcium transporter;; absorption;; intestine;